电针结合加味桑螵蛸汤治疗女性膀胱过度活动症的临床研究  

Clinical study of electroacupuncture combined with supplemented Sangpiaoxiao Decoction in treatment of female overactive bladder

作　　者：徐英峰 方东 杨海东 XU Yingfeng;FANG Dong;YANG Haidong(Department of Urology,Kunshan Hospital of Integrated Traditional Chinese and Western Medicine in Jiangsu Province,Kunshan,Jiangsu,215300;Department of Pelvic Floor Disease,Kunshan Hospital of Integrated Traditional Chinese and Western Medicine in Jiangsu Province,Kunshan,Jiangsu,215300;Department of Acupuncture and Massage,Kunshan Hospital of Integrated Traditional Chinese and Western Medicine in Jiangsu Province,Kunshan,Jiangsu,215300)

机构地区：[1]江苏省昆山市中西医结合医院,泌尿科,江苏昆山215300 [2]江苏省昆山市中西医结合医院,盆底疾病科,江苏昆山215300 [3]江苏省昆山市中西医结合医院,针灸推拿科,江苏昆山215300

出　　处：《实用临床医药杂志》2022年第5期66-70,共5页Journal of Clinical Medicine in Practice

基　　金：江苏省昆山市社会发展科技专项项目(KS1626)。

摘　　要：目的观察电针结合加味桑螵蛸汤治疗女性膀胱过度活动症(OAB)的临床疗效。方法选取64例符合OAB诊断标准的患者为研究对象,随机分为治疗组和对照组,每组32例。对照组采用口服酒石酸托特罗定片治疗,治疗组在对照组基础上加用电针穴位治疗及口服加味桑螵蛸汤,每周治疗3次,共治疗6周。比较治疗前和治疗3、6周后,2组膀胱过度活动症评分(OABSS)、生活质量评估表(QOL)评定情况。比较2组治疗前、治疗6周后排尿日志,并进行中医疗效评价。结果治疗3、6周后,治疗组OABSS、QOL评分均低于对照组,临床总有效率高于对照组,差异有统计学意义(P<0.05)。治疗6周后,治疗组夜尿次数和急迫性尿失禁(UUI)次数少于对照组,差异有统计学意义(P<0.05)。结论电针结合加味桑螵蛸汤治疗女性OAB患者,可在一定程度上改善其临床症状及生活质量。Objective To observe the clinical effect of electroacupuncture combined with supplemented Sangpiaoxiao Decoction in treatment of female overactive bladder(OAB).Methods Sixty-four patients who met OAB diagnostic criteria were selected as the study subjects,and randomly divided into treatment group and control group,with 32 cases in each group.The control group was treated with oral treatment of tolterodine tartrate tablets,and the treatment group was additionally treated with electric acupuncture point treatment and oral treatment of supplemented Sangpiaoxiao Decoction,the patients were treated three times a week for a total of 6 weeks.The overactive bladder symptom score(OABSS)and quality of life(QOL)score before treatment were compared with 3,6 weeks after treatment in the two groups.The urination logs of the two groups were compared before treatment and 6 weeks after treatment,and the TCM efficacy was evaluated.Results After 3 and 6 weeks of treatment,OABSS and QOL scores in the treatment group were significantly lower,and the total clinical response rate was significantly higher than that in the control group(P<0.05).After 6 weeks of treatment,the nocturnal urination times and urge urinary incontinence(UUI)times in the treatment group were significantly less than those in the control group(P<0.05).Conclusion Electroacupuncture combined with supplemented Sangpiaoxiao Decoction can improve the clinical symptoms and quality of life in female patients with OAB to certain extent.

关 键 词：电针 加味桑螵蛸汤 膀胱过度活动症 夜尿次数 急迫性尿失禁 生活质量 

分 类 号：R694[医药卫生—泌尿科学] R285[医药卫生—外科学]